Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Financing Health Care - Part 1
Lecture:The Government as an Insurance Payor
Slide content:Medicare/Medicaid Fraud and Abuse - 2 Examples of possible fraud/abuse: Provider bills for services or equipment that the patient never received Someone uses another persons Medicare or Medicaid card to get medical care or equipment Provider bills for home medical equipment after it is returned 20
Slide notes:Examples of possible Medicare or Medicaid fraud include a situation where the health care provider bills Medicare or Medicaid for services that the patient never received. Or perhaps someone uses a Medicare or Medicaid card that belongs to someone else to get medical care or equipment. A third example is when a provider continues to bill for home medical equipment after it is returned. 20